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  • Payer & Provider Organization Adoption Of Collaborative Care Model For Integrated Mental Health & Medical Care On The Rise Since 2018

    Article
    September 18, 2025

    Across all payer types, the number of clinical professionals delivering integrated, mental health and primary care services using the Collaborative Care Model (CoCM) billing codes increased by at least a factor of five nationally between 2018 and 2022, according to a recent study. Adoption rates varied considerably between insurance coverage types and across different geographic…

  • 64% Of Health Care Organizations Expect Increased Value-Based Care Adoption

    Article
    September 16, 2025

    About 64% of health care provider organizations expect a shift toward value-based care in 2025, compared to 2024, according to a recent survey. About 30% of organizations reported that 25% or more of their revenue is tied to value-based care (VBC) contracts, and about 13% reported that more than 50% of revenue was linked to…

  • 55% Of Behavioral Health Professionals Accepted New Appointments For Medicare Or Medicaid Beneficiaries, With A 30-Day Wait For Many, A Survey States

    Article
    September 9, 2025

    About 55% of behavioral health professionals serving Medicare and Medicaid beneficiaries accepted new appointments in 2023, according to a federal survey report. However, 24% reported wait times of more than 30 days for a new appointment. About 5% had wait times of 90 days or longer for a new appointment. The percentage of health care…

  • 30% Of AI Pilots For Health Care Reach Production

    Article
    September 4, 2025

    About 30% of artificial intelligence (AI) pilots intended for health care applications reach the production phase of the software development lifecycle, based on a recent survey conducted by Bessemer Venture Partners, Bain & Company, and Amazon Web Services. The survey respondents said that security, data readiness, integration costs, and limited in-house expertise affected whether a…

  • Youth Colorado Medicaid Beneficiaries Had Drug Costs Of $1.1 Billion, With 47% Attributed To The 6% Taking Five Or More Medications

    Article
    August 21, 2025

    Youth Medicaid beneficiaries in Colorado had medication costs of $1.1 billion, with 47% of costs attributed to the 6% of youth taking five or more medications, according to data from the 2022 Colorado All Payer Claims Database. The remaining 53% of costs were attributed to the 94% of youth taking fewer medications concurrently. Of the…

  • Joint Commission Launches Simplified Accreditation Standard With Fewer Requirements & New Focus On Consumer Outcomes

    Article
    August 19, 2025

    On June 30, 2025, Joint Commission launched Accreditation 360: The New Standard, a simplified accreditation standard for hospitals and health care provider organizations. The new approach has fewer requirements and a strong focus on consumer outcomes, according to the announcement. It is intended to streamline and simplify processes and more efficiently share best practices across…

  • Dario Partners With GreenKey Health On A Value-Based Chronic Condition Management & Sleep Health Platform For Payers Nationwide

    Article
    August 12, 2025

    DarioHealth Corp. (Dario), which provides a digital health platform for chronic condition self-management, partnered with GreenKey Health (GreenKey), which provides a value-based care management program for consumers with obstructive sleep apnea (OSA). Dario and GreenKey plan to deliver a value-based, tiered, data-driven solution for integrating behavioral health, sleep health, and cardiometabolic care through this partnership. …

  • CMS Releases Final Rule To Address ACA Exchange Enrollment Fraud, Saving ACA Enrollees 5%

    Article
    August 7, 2025

    The Centers for Medicare & Medicaid Services (CMS) released the 2025 Marketplace Integrity and Affordability Final Rule. Its stated aim is to reduce individual health insurance premiums by approximately 5% on average and save taxpayers up to $12 billion in 2026. The rule addresses what CMS describes as widespread fraud in Affordable Care Act (ACA)…

  • Unite Us & Nomi Health Partner To Accelerate & Streamline Medicaid Payments For Community-Based Organizations

    Article
    August 5, 2025

    Unite Us, which integrates health and community-based care, and Nomi Health, a national health care financial services platform, partnered to deliver an innovative joint solution designed to streamline administration and accelerate payments to community-based organizations (CBOs) on behalf of Medicaid health care payers. The partnership is intended to ensure that essential community services for Medicaid…

  • Benefit Manager Alivi Health Adds Podimetrics, Diabetic Foot Health Solution, To Specialty Benefit Portfolio

    July 29, 2025

    Podimetrics, which provides complex diabetes solutions, entered a new partnership with Alivi Health, a fully delegated benefit manager for clinical and non-clinical provider networks. Alivi will incorporate the Podimetrics solution within its portfolio of specialty benefits to enhance podiatry benefits for health plans and payers. Podimetrics offers a virtual care solution that monitors foot health…

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  • Home
  • Volume 1
    • Key Trends In Behavioral Health Treatment Demand, Cost & Delivery
  • Volume 2
    • Health Plan Approaches For Managing The Benefits Of Consumers With Behavioral Health Conditions: The 2026 National Survey
  • Resources
  • Events
    • Upcoming Events
    • On Demand Webinars

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